Talent.com
Analyst, Healthcare Coding - Disputes, Claims & Investigations
Analyst, Healthcare Coding - Disputes, Claims & InvestigationsStout Risius Ross • Chicago, IL, United States
[error_messages.no_longer_accepting]
Analyst, Healthcare Coding - Disputes, Claims & Investigations

Analyst, Healthcare Coding - Disputes, Claims & Investigations

Stout Risius Ross • Chicago, IL, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence ®. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values : Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.

About Stout's Forensics and Compliance Group

Stout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.

What You'll Do

As an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include :

  • Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations.
  • Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies.
  • Analyze and document EMR / EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic.
  • Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning.
  • Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives.
  • Support EMR / EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support.
  • Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations.
  • Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery.
  • Continue developing technical, analytical, and consulting skills while building credibility with clients.
  • Stay current on healthcare regulations, payer rules, EMR / EHR enhancements, and industry trends impacting compliance and reimbursement.
  • Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team.

What You Bring

  • Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred.
  • Two (2)+ years of experience in healthcare revenue cycle operations, EMR / EHR implementations, compliance, or related healthcare consulting roles.
  • Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.
  • Epic Resolute or other hospital billing system experience preferred; Epic certification a plus.
  • Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required.
  • Additional certifications such as CHC, CFE, or AHFI preferred.
  • Working knowledge of EMR / EHR system configuration, workflows, issue resolution, and optimization.
  • Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred.
  • Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act.
  • Willingness to travel up to 25%, based on client and project needs.
  • How You'll Thrive

  • Analytical and Detail-Oriented : You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions.
  • Collaborative and Client-Focused : You communicate clearly, work well in team-based environments, and contribute to positive client relationships.
  • Accountable and Proactive : You take ownership of your work, manage priorities effectively, and deliver high-quality results on time.
  • Adaptable and Curious : You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment.
  • Growth-Oriented : You seek feedback, develop your technical and professional skills, and build toward increased responsibility.
  • Aligned with Stout Values : You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions.
  • Why Stout?

    At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.

    We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.

    We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.

    Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.

    Learn more about our benefits and commitment to your success.

    https : / / www.stout.com / en / careers / benefits

    The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.

    Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.

    Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.

    A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https : / / www.stout.com / en / careers / benefits.

    [job_alerts.create_a_job]

    Coding Analyst • Chicago, IL, United States

    [internal_linking.similar_jobs]
    Ambulatory Risk Adjustment Coding Specialist

    Ambulatory Risk Adjustment Coding Specialist

    NorthShore PC Service • Skokie, IL, United States
    [job_card.full_time]
    The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.Position : Ambulatory Risk Adjustment Coding Specialist I. Hours : Monday-Friday, [hou...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Claims Analyst 25-40

    Claims Analyst 25-40

    Government Jobs • Chicago, IL, US
    [job_card.full_time] +1
    Illinois Attorney General (IL).Summary of Duties and Responsibilities.Processes claims by reviewing filings, providing and gathering information, and preparing reports. Obtains information by contac...[show_more]
    [last_updated.last_updated_30] • [promoted]
    AP Analyst

    AP Analyst

    Vaco by Highspring • Glenview, IL, US
    [job_card.full_time]
    Codes invoices; performs detailed reconciliation and research of supplier information; and processes account transactions in an accurately and timely manner. Performs data verification audits to ens...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapist (PT) - $1,940 per week in Zion, IL

    Travel Physical Therapist (PT) - $1,940 per week in Zion, IL

    AlliedTravelCareers • Zion, IL, US
    [job_card.full_time]
    Client in IL seeking Physical Therapist : LTC / SNF.We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract / travel role. Contract / travel assignmen...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Lead Coder - Outpatient - Same Day Surgery

    Lead Coder - Outpatient - Same Day Surgery

    Powers Health • Munster, IN, US
    [job_card.full_time]
    The Lead Coder – Outpatient Same Day Surgery is responsible for overseeing and performing high level coding and abstracting of outpatient medical records in accordance with coding guidelines,...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • Calumet City, Illinois
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Healthcare Coding Analyst

    Senior Healthcare Coding Analyst

    American Medical Association • Chicago, IL, United States
    [job_card.full_time]
    Senior Healthcare Coding Analyst.The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. We are a unifying voice and powe...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapy Assistant - $1273 / Week

    Travel Physical Therapy Assistant - $1273 / Week

    Medpro Healthcare Staffing • Zion, IL, US
    [job_card.full_time]
    Medpro Healthcare Staffing is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Zion, IL. Shift : 5x8 hr days Start Date : 02 / 09 / 2026 Duration : 13 weeks Pay : $1273...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

    Stout • Chicago, Illinois, United States
    [job_card.full_time]
    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    CRNA - Anesthesiology job available in Munster, Indiana

    CRNA - Anesthesiology job available in Munster, Indiana

    Medsource Consultants • Munster, IN, US
    [job_card.full_time]
    Join a well-established, growing hospital system just 30 minutes from downtown Chicago.Enjoy a supportive, team-based environment with a great work-life balance. Full-time, hospital-based role (Mon&...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Inpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, MO, OH, MI,

    Inpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, MO, OH, MI,

    Northwestern Memorial Healthcare • Chicago, IL, US
    [filters.remote]
    [job_card.full_time]
    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.This patient-first approach is what sets us apart as a leader in the healthcare industry.A...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Accounting Associate

    Accounting Associate

    Central Rent-A-Crane, Inc • Hammond, IN, US
    [job_card.full_time]
    Accounting Associate to perform a wide range of accounting, bookkeeping, clerical and office support activities to facilitate the efficient operation of the organization. This is a full-time, non-ex...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapy Assistant - $1268 / Week

    Travel Physical Therapy Assistant - $1268 / Week

    Fusion Medical Staffing • Zion, IL, US
    [job_card.full_time]
    Fusion Medical Staffing is seeking an experienced Physical Therapy Assistant for an exciting Travel Allied job in Zion, IL. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $1268 / Week.Trave...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Analyst II

    Claims Analyst II

    CSEngineering • Chicago, IL, US
    [job_card.full_time]
    CSEngineering is looking to add a Claims Analyst II to our growing team! The CA II shall provide expert claims analysis and litigation support for construction projects at a VA Medical Center and w...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapy Assistant

    Travel Physical Therapy Assistant

    Triage Staffing • Zion, IL, US
    [job_card.full_time]
    Triage Staffing is seeking a travel Physical Therapy Assistant for a travel job in Zion, Illinois.Job Description & Requirements. Travel Rehab : Physical Therapy Zion.Location : &...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physician / Telemedicine / Indiana / Permanent / Telemedicine Physician

    Physician / Telemedicine / Indiana / Permanent / Telemedicine Physician

    QuickMD • Hammond, Lake County, IN, US
    [job_card.permanent]
    About QuickMD : QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essenti...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Sr. Analyst Healthcare Contracts

    Sr. Analyst Healthcare Contracts

    Vizient, Inc. • Chicago, IL, United States
    [job_card.full_time]
    When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Epic Research Billing Analyst

    Epic Research Billing Analyst

    Healthlink Advisors • Chicago, Illinois, United States
    [job_card.full_time]
    This position develops, builds, and modifies Epic Research Billing and related applications.Writes documentation specifications, fact-finding and analyzes results and proposes solutions or recommen...[show_more]
    [last_updated.last_updated_30] • [promoted]